Provider Demographics
NPI:1083644231
Name:ROBILLARD, RACHEL WEST (PHD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:WEST
Last Name:ROBILLARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5561
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78763-5561
Mailing Address - Country:US
Mailing Address - Phone:512-934-7858
Mailing Address - Fax:
Practice Address - Street 1:4810 SPICEWOOD SPRINGS RD STE B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7845
Practice Address - Country:US
Practice Address - Phone:512-934-7858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32703103TC0700X
TX32183103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool